Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, March 10, 2017

Muscle strengthening for hemiparesis after stroke: A meta-analysis.

I thought that this was already the assumption for all stroke medical professionals. Rather disgusting that this research had to be done, you should have been able to just look up the stroke protocol in a publicly available database with the associated research to back it up. This just once again proves that every single stroke survivor is a one person guinea pig in a non sanctioned clinical trial.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75393&phrase=no&rec=132860&article_source=Rehab&international=0&international_language=&international_location=
Muscle strengthening for hemiparesis after stroke: A meta-analysis. Annals of Physical and Rehabilitation Medicine , Volume 59(2) , Pgs. 114-124.

NARIC Accession Number: J75393.  What's this?
ISSN: 18770657.
Author(s): Wist, Sophie; Clivaz, Julie; Sattelmayer, Martin.
Publication Year: 2016.
Number of Pages: 11.
Abstract: A systematic literature review and meta-analysis investigated whether strengthening of the lower limbs can improve strength, balance and walking abilities in patients with chronic stroke. Five databases (Pubmed, Cinhal, Cochrane, Web of Science, and Embase) were searched to identify eligible studies. Randomized controlled trials were included and the risk of bias was evaluated for each study. Pooled standardized mean differences were calculated using a random effects model. Ten studies, including 355 patients, reporting on the subject of progressive resistance training, specific task training, functional electrical stimulation and aerobic cycling at high-intensity were analyzed. These interventions showed a statistically significant effect on strength and the Timed Up-and-Go test, and a non-significant effect on walking and the Berg Balance Scale. Progressive resistance training seemed to be the most effective treatment to improve strength. When it is appropriately targeted, it significantly improves strength.
Descriptor Terms: AMBULATION, EQUILIBRIUM, EXERCISE, HEMIPLEGIA, LIMBS, MUSCULAR IMPAIRMENTS, STROKE, THERAPEUTIC TRAINING.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Wist, Sophie, Clivaz, Julie, Sattelmayer, Martin. (2016). Muscle strengthening for hemiparesis after stroke: A meta-analysis.  Annals of Physical and Rehabilitation Medicine , 59(2), Pgs. 114-124. Retrieved 3/10/2017, from REHABDATA database.

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